Displaying 142411-142420 of 1611142 results.
ID:
142411
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142412
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
762394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142413
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284592
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142414
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284594
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142415
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284593
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142416
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
284595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142417
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142418
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142419
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
142420
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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